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중년여성의 노화관리 프로그램이 회복탄력성과 성공적 노화에 미치는 영향
정혜윤,성경미 한국여성건강간호학회 2019 여성건강간호학회지 Vol.25 No.4
Purpose: The purpose of this study was to examine the effects of an aging management program on the resilience and successful aging of middle-aged women. Methods: A quasi-experimental study with a non-equivalent control and pre-post test design was used. The participants were 39 middle-aged women living in urban areas in Korea. The experi�mental group (n=22) received the aging management program for a total of 10 weeks, 90 minutes to 120 minutes per week. The aging management program consisted of strategies to enhance the behavior, promotion conditions, and habits of the program, including various activities for middle-aged women. The data were analyzed using χ2 tests, independent t-tests, and repeated measures analysis of variance with the SPSS/WIN 21.0 program. Results: The resilience score of the experimental group was significantly higher level than the score of the control group in the time-to-group interactions (F=3.70, p=0.029). The successful aging score of the experimental group was significantly higher than the score of the control group in the time-to-group interactions (F=5.86, p=0.004). However, the sub-hypotheses of resilience (self-regulation and interpersonal relationships) and successful aging (physical aging adaptation and psychological age adaptation) were partially accepted. Conclusions: The aging management program for middle-aged women was identified as an ef�fective intervention for promoting resilience and successful aging in middle-aged women. There�fore, this suggests that the aging care program could be a useful intervention program to improve the mental health of middle-aged women living in communities.
세균의 항생제 내성 현황에 대한 모니터링(모니터링 사업) : Monitoring on the Bacterial Resistance to Antibiotics
정혜윤,장성제,공학수,장정윤,최선옥,신행섭,이경희,김광욱,이경원,김은정 식품의약품안전청 2000 식품의약품안전청 연보 Vol.4 No.-
국내에사 항생제 오남용으로 세균의 항생제 내성률이 세계적으로 높은 수준에 이르러 있는 현재 상팡에서, 병원 환자 및 일반인에서 세균의 내성 전파 현황을 파악하기 위하여 병원 환자 및 일반인에서 분리된 왔색포도상구균에 대하쳐 치료항생제에 대한 내성 현황을 모니러링하였다. 2000년에 3차 의료기관의 환자에서 분리된 황색포도상구균 279균주에 대하여 디스크 확산법에 의하여 항생제 내성를을 조사한 결과, penicillin 내성 띤%, oxacillin 내성 78%, cephalothin 내성 74%, gentaudcin 개성 79%, tetracycline 내성 76%, erythromycin 내성 84%, clindamycin 내성 73%, o뵈oxacin 내성 75%,sulfamethoxazole-Uirnethoprinl (cotrimoxazole) 내성 5%, ohlorarnphenicot 내성 3%, 및 vancomycin 내성 0% 였다. 또한 2000년에 3차 의료기관의 환자에서 분리된 황색포도상구균 107근주에 대하여 최소억제농도 (Hrifmum infibitory concentration, MIC) 측정법에 파라 항생제 내싶률을 조사한 결과, pe굻cillin 내성 59%, oxacillin 내성 80%, erythromycin 내성 실%, tetracycline 내성 76%, gentarlicin 내성 71%, cephalothin 내성 79%, of loxacin 내성 79%, vancomycin 내성 0% 였다. 반면 2000년에 건강할 일반인(498명)(3~71세)의 비강으로부터 분리된 황색포도상구균 130균주 (Baird parker agar배지(Difco)에서 선택적으로 분리 후 황색포도상구균의 확인시헝실시)에 대하여 디 스크 확산법에 따라 치료항생제에 대한 내성를을 측정한 결과 penicillin 내성 95%, oxacillin 내성 2%,cephalothin 내성 1%, gentainicin 내성 11%, tetracycline 내성 긴%, erythromycin 내성 뽀%,cl고damycin 내성 2%, o친oxacin 내성 0%, sulfamethoxazole-trimethoprim 내성 0%, ehlorarn-phenicol 내성 1%, amoxicillin·-clavulanic acid 내성 1%, vancomycin 내싱 0% 였다. 이상의 결과로 부터 지역사회의 일반인으로부터 분리된 황색포도상구균은 penicillin, erythromycin, tetracycline,gentamicin 순으로 내성이 높았던 것으로 나타났다. In the situation of high bacterlal resistance in Korea, to assess diffusion of methicillin-resistant ffoffyforfccus oureus (MRSA) and levels of bacterial resistance toantibiotics in hospital patients and community, we monitored antibiotic resistance of 5. aureusisolates from hospital patients and llealthy volunteers of community. From disc diffusion tesf on279 5. aureus isolates from'hospital patients in 2000, the resistance rates were as follows;penicillin resistant, 99%; of acillin resistant (bfRSA), 78%; cephalothin resistant, 74%; gentamicinresistant, 79%; tetracyclifi3~ refistant, 76%; erythromycin resistant, 84%; clindamycin resistant,73%; of loxacin resisrant, 75%; sulfamethoxazole-trimethoprim (cotrimoxazole) resistant, 6%;ohlorarnphenicol resistant, 3%; vancomIFcin resistant (VRSA), 0%. From minimum inhibitoryconcentrations (MICs) of 107 5. aureus strains from hospital patients in 2000, the resistancerates were as follows; penicillin resistant, 99%, oxacillin resistant (MRSA), 80%; erythromycinresistant, 83%; tetracycline resistant, 76%; gentamicin resistant, 71%, cephalothin resistant, 79%;of loxacin resisrant, 79%; vancomycin resistant (VRSA), 0%. The resistance rates of 5. aureusstrains from hospital patients by disc diffusion and MfC were similar. From disc diffusion 4eston 130 nasal 5. aureus isolats from 498 healthy volunteers of the community, the resistancerates were as follows; penicil;lin resistant, 9j%; oxacillin resistant (MRSA), 2%; erythromycinresistant, 213%; tetracyc)me resistant, 22%; gentamicin resistant, 11%, cephalothin resistant, 1%;clindamycin resistant, 2%, of loTacin resisrant, 0%; sulfamethoxazole-trimethoprim(cotrimoxazole) resistant, 0%; ·Thlorarnphenicol resistant, 1%; amoxicillin-cavulanic acid resistant,1%; yancomycin resistant (VRSA), 0%. Summarily, in the community 2% of nasal 5. aureusisolates were tfRSA, and tht resistance rates of nasal 5. aureus isolates were high in theorder of penicillin (95%), erythrom?cin (f8%), tetracycline (22%), gentamicin (11%).